Rulemaking for Mandatory Hospital Participation in Public Option Plans

As WSHA previously reported, Senate Bill 5377 enacted during the 2021 legislative session made key modifications to public option health plans (also known as “Cascade Select”). ... Read More >>

HHS Provides Additional Information on $25.5 Billion in COVID Relief Funding: Application Portal Opens September 29

The US. Department of Health and Human Services (HHS) provided more information related to applying for the $17 billion in Phase 4 Provider Relief Funding and $8.5 in ARPA Rural Funding. ... Read More >>

HCA Clarifies Authorization and Payment Provisions for Monoclonal Antibodies and Ambulance Services

WSHA has been actively working with the Washington Health Care Authority (HCA) to identify and remedy issues impacting access to medical care during the COVID emergency. ... Read More >>

Medicaid Fee Schedule Increases Effective October 1

Effective October 1, the Washington state Health Care Authority (HCA) will increase the Medicaid professional fee schedule amounts for designated behavioral health, primary care, and pediatric critical care services. ... Read More >>

HHS Releases $25.5 Billion Provider Relief Funding, Including $8.5 Billion Rural Funding; Application Portal to Open September 29

The U.S. Department of Health and Human Services (HHS) announced last Friday that they will release $25.5 billion in COVID-19 Provider Relief Funds and rural funds previously authorized by Congress. ... Read More >>

WSHA Provides Comments on CMS Outpatient and ASC Rule

WSHA has prepared draft comments it plans to submit to CMS Friday regarding the Medicare Proposed 2022 Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) rule. ... Read More >>

WSHA Updates Regulatory Rules Tracker

WSHA’s Government Affairs team recently published its update to its State Regulatory Issues webpage. ... Read More >>

WSHA Provides New Law Implementation Guide

To assist members with implementation of the many bills passed during the 2021 legislative session, WSHA has prepared and is maintaining a New Law Implementation Guide with links to published and upcoming bulletins, webcasts, and other materials.... Read More >>

Federal Agencies Delay Certain Provisions of Transparency Law, No Surprises Act

The Health and Human Services (HHS), Labor, and Treasury Departments released guidance on August 20 delaying the provision of the federal transparency law that requires health plans to disclose their negotiated provider payment rates from its original January 1, 2022 date until July 1, 2022. ... Read More >>

State and Stakeholders Continue Work to Align State and Federal Balance Billing Laws

Staff from the state’s Office of the Insurance Commissioner (OIC) have been conducting stakeholder calls and solicited comments to determine what changes to law or rules may be necessary to align the state’s existing Balance Billing Protection Act (BBPA) and the federal No Surprises Act (NSA). ... Read More >>

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